Dyersburg Clinic Corp

NPI 1093710568 - Urology - 208800000X

NPI Details
NPI 1093710568
Enumeration Date 06/20/2005
Last Updated 08/25/2010
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name DEBBIE T DEBBIE
Position DIRECTOR
Phone (731) 288-7250
Fax (731) 288-7258
Practice Location
400 E TICKLE ST
DYERSBURG TN, 38024-3120, US
Phone (731) 288-7250
Fax (731) 288-7258
Business Location
7100 COMMERCE WAY
SUITE 180
BRENTWOOD TN, 37027-2829, US
Phone (615) 465-7000
Fax (615) 309-3338
Toxanomy
Taxonomy Code 208800000X
License State
License Number
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According to our database, Dyersburg Clinic Corp NPI is 1093710568, taxonomy code is 208800000X Dyersburg Clinic Corp physically located at 400 E Tickle St, Dyersburg TN, 38024-3120. NPI Number 1033115704 has the healthcare provider type.

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1093710568 NPI number is provided on an as is basis without warranty of any kind. 1093710568 is maintained by the National Plan & Provider Enumeration System. The contents of Dyersburg Clinic Corp are for informational purposes only.